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Articles tagged "Public policy"

  • 2016 American Transplant Congress

    Age and Education Level Are Predictors of Patient Preferences for Educational Formats in ESRD Patients Undergoing Transplant Education.

    K. Leick,1 J. Jones,1 S. Witte,2 L. Hunsicker,3 Z. Stewart.1

    1Dept of Surgery, University of Iowa, Iowa City, IA; 2Dept of Social Services, University of Iowa, Iowa City, IA; 3Dept of Internal Medicine, University of Iowa, Iowa City, IA.

    Background: Health literacy impacts hospitalizations and mortality. ESRD patients have reduced health literacy due to a high proportion of lower educational background and socioeconomic resources.…
  • 2016 American Transplant Congress

    Return on Investment for Financial Assistance for Living Kidney Donors in the United States.

    A. Mathur,1 J. Xing,2 D. Dickinson,2 P. Warren,3 K. Gifford,3 B. Hong,4 A. Ojo,5 R. Merion.2,5

    1Mayo Clinic, Phoenix; 2Arbor Research Collaborative for Health, Ann Arbor; 3ASTS, Arlington; 4Washington University in St. Louis, St. Louis; 5University of Michigan, Ann Arbor.

    Background: Federal financial support through the National Living Donor Assistance Center (NLDAC) assists potential living donors who have prohibitive out-of-pocket expenses. We calculated the return…
  • 2016 American Transplant Congress

    KDPI Outcomes and Discard Rates – The Contradiction of the U.S. and European Approach.

    L. Lehner, A. Kleinsteuber, F. Halleck, D. Khadzhynov, M. Duerr, K. Budde, O. Staeck.

    Dept. of Nephrology CCM, Charite Berlin, Berlin, Germany.

    Introduction: Only a few data exist on the KDPI in European patients (pts). We evaluated the influence of donor factors assessed by the KDPI on…
  • 2016 American Transplant Congress

    Who Should Decide? Potential Living Kidney Donor Preferences for Making Decisions About Risk.

    C. Thiessen,1 J. Gannon,1 K. Kennedy,2 D. Dobosz,1 S. Li,1 D. Gray,3 A. Mussell,3 E. Gordon,2 P. Reese,3 S. Kulkarni.1

    1Yale U, New Haven; 2Northwestern U, Chicago; 3U Pennyslvania, Philadelphia.

    BackgroundTransplant centers debate how to manage risks to potential living kidney donors (LKDs) when there is a lack of consensus about reasonable donor risk .We…
  • 2016 American Transplant Congress

    Simulating Alternative Bayesian Criteria to Identify Transplant Center Performance Outliers.

    J. Schold,1 C. Miller,1 M. Henry,2 L. Buccini,1 S. Flechner,1 D. Goldfarb,1 E. Poggio,1 K. Andreoni.3

    1Cleveland Clinic, Cleveland, OH; 2Ohio State University, Columbus, OH; 3University of Florida, Gainesville, FL.

    The newly constructed Bayesian models to evaluate transplant center performance were implemented in 2014. The rates and impact of the assumptions used for flagging centers…
  • 2016 American Transplant Congress

    Have We Gone Too Far Defining Performance Outliers? One-Third of Kidney Transplant Programs Now Identified for Low Performance within Three Years.

    J. Schold,1 C. Miller,1 M. Henry,2 L. Buccini,1 S. Flechner,1 D. Goldfarb,1 E. Poggio,1 K. Andreonni.3

    1Cleveland Clinic, Cleveland, OH; 2Ohio State University, Columbus, OH; 3University of Florida, Gainesville, FL.

    Transplant center report cards developed by SRTR are publicly available and utilized for regulatory oversight and insurance contracting. There are significant associations of performance oversight…
  • 2016 American Transplant Congress

    NEAD Chains Do Not Disadvantage Blood Type O, Black, or Highly Sensitized Patients.

    M. Rees,1 J. Roberts,2 K. Lentine,3 A. Roth,4 A. Leichtman,5 H. Xiao,3 S. Rafizadeh,1 E. Neidich,2 M. Melcher.4

    1UT, Toledo; 2UCSF, SF; 3SLU, St Louis; 4Stanford, Palo Alto; 5Arbor Res, Ann Arbor.

    Introduction: NEAD chains raised concern that wait-listed blood type (BT) O patients and racial minorities would be disadvantaged by allocation of a non-directed donor (NDD)…
  • 2016 American Transplant Congress

    Investigating Geographic Variation in the Number of Deceased Donor Transplants Performed in the U.S.

    R. Carrico, D. Stewart, R. Ehrensberger, B. Shepard, D. Klassen.

    UNOS, Richmond, VA.

    Background: In 2014 the number of deceased donor transplants (DDT) increased greatly compared to the period from 2005 to 2013 when there were minimal changes…
  • 2016 American Transplant Congress

    Identifying Social Barriers to Health Literacy in ESRD Patients Undergoing Kidney Transplant Evaluation.

    K. Leick,1 J. Jones,1 S. Witte,2 L. Hunsicker,3 Z. Stewart.1

    1Dept of Surgery, University of Iowa, Iowa City, IA; 2Dept of Social Work, University of Iowa, Iowa City, IA; 3Dept of Internal Medicine, University of Iowa, Iowa City, IA.

    Background: Low health literacy is associated with increased hospitalizations and mortality. ESRD patients have reduced health literacy as ESRD disproportionately affects the elderly and individuals…
  • 2016 American Transplant Congress

    Implicit Bias in Dialysis Providers' Transplant Education Practices for Low-Income and Racial/Ethnic Minority Patients.

    C. Gonzalez,1,2 A.-M. McSorley,1 J. Peipert,1 K. Norris,1 C. Goalby,1 L. Peace,3 P. Lutz,3 A. Waterman.1

    1University of California, Los Angeles, Los Angeles, CA; 2Charles R. Drew University of Medicine and Science, Los Angeles, CA; 3University of Missouri, Columbia, Columbia, MO.

    Low-income or racial/ethnic minority dialysis patients (low-income/minority) are less likely to receive transplant education and, ultimately, kidney transplant. We conducted a mixed-methods study with 4…
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